Is surgery the only option?

You have:

A 9 x 8 mm gallstone.

A 4 × 4 mm stone in the cystic duct.

Thick gallbladder sludge.

Acute cholecystitis (inflamed gallbladder).

This is the cause of your gallbladder attacks.

3. Tiny stones in the common bile duct (CBD)

Your MRCP shows tiny CBD stones (microliths).

These can temporarily block bile flow and may need ERCP if they don't pass.

4. Mild enlargement of the spleen

5. Chronic hepatitis B